187477 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 355824 Page 1 of 1
ONE CIVIC SQUARE VERMEER OF INDIANA INC
O I. 13402 BRIT ON PARK ROAD CHECK AMOUNT: $149.23
CARMEL, INDIANA 46032
FISHERS IN 46038 CHECK NUMBER: 187477
CHECK DATE: 717/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 016900 149.23 REPAIR PARTS
rMeer(g Vermeer of Indiana, Inc.
Ve, 13402 Britton Park Rd..
Fishers, IN 46038
Ph 317 842 1040
V TMI
Midwest FX 317 577 1 179
Branch CNNVVY
PICKED UP
Q Date Time Page
Q 0
L
Account No, Phone No. Invo ice No.
CARME001 317 7332001 P17278
Ship Via Purchase Order
o Carmel Street Dept SHOP
v 3400 W 131st St
Westfield IN 46074 -8267
Salesperson
NWN
PARTS INVOICE
ORDER 016900
Part# DESCRIPTION Bin ORD ISS SHP B/0 UTT Price Amount
154978001 FILTER FUEL R1B4 1 1 1 23.67 23.67
154908001 OIL FILTER CU R1B4 1 1 1 14.45 14.45
2683001 ELEMENT R1A4 1 1 1 7.23 7.23
274255001 ELEMENT PRIMARY R1H2 1 1 1 67.95 67.95
274256001 ELEMENT SAFETY R1H2 1 1 1 35.93 35.93
CHARGE ON ACCOUNT 149.23
V
l
Payment for all services rendered shall be due within (30) days from the date on the invoice from Vermeer f I I na,lnc. Interest shall accrue on all
amounts at the rate of one and one -half percent (1112 monthly (eighteen percent [18 per annum) to 0 r.%tPKWjpepbounts more than (30) days
past due. You agree to pay all of Vermeer of Indiana, Inc. costs of collection or attempted collection, including, but not limited to, reasonable attorneys'
fees made necessary by your nonpayment pursuant to these terms. All Merchandise returned is subject to a 15% restocking charge and must be
returned within 30 days of receipt. Some safety equipment may not be returnable,
VOUCHER N WARRA NO.
ALLOWED 20
Vermeer of Indiana
IN SUM OF
13402 Britton Park Drive
Fishers, IN 46038
$149.23
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board MemberE
2201 016900 42- 370.00 $149.23 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, July 01, 2010
Street Commissioner
Street
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/25/10 016900 $149.23
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer